Provider Demographics
NPI:1912164906
Name:RYALL, ANN MARIE (HOME HEALTH AIDE)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:RYALL
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:MS
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:RYALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-2433
Mailing Address - Country:US
Mailing Address - Phone:516-423-0978
Mailing Address - Fax:
Practice Address - Street 1:24 5TH ST
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-2433
Practice Address - Country:US
Practice Address - Phone:516-423-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide